Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,108.00 / $17,902.00	Facility		$2,608.00	$7,108.00	$17,902.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,362.00 / $16,106.00	Facility		$2,675.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,938.65	Facility		$66.00	$100.00	$8,938.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,565.00 / $8,500.00 / $25,197.00	Facility		$5,565.00	$8,500.00	$25,197.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $383.10 / $633.46 / $855.17	Professional		$383.10	$633.46	$855.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.95 / $709.14 / $1,268.54	Professional		$518.95	$709.14	$1,268.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,025.38 / $19,913.50 / $26,542.00	Facility		$3,025.38	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $123.16 / $1,887.52 / $1,887.52	Facility	AS	$123.16	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $567.30 / $719.93 / $1,090.59	Facility		$567.30	$719.93	$1,090.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $60.51 / $60.51 / $174.51	Facility	AS	$60.51	$60.51	$174.51
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,555.00 / $29,312.00	Facility		$7,696.00	$13,555.00	$29,312.00